Assessment of weight gain during pregnancy in general prenatal care services in Brazil

Ayres, José Ricardo de Carvalho Mesquita

doi:10.1590/s0102-311x2001000600007

Cited by 69 publications

(86 citation statements)

References 14 publications

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“…The evaluation of the nutritional status showed that a high percentage of the women started the pregnancy overweight/obese, a result slightly higher to that found in other studies developed in the primary healthcare system (7)(8)(9) . A cohort study that followed more than 3000 women attending general prenatal services of the Brazilian National Health System (SUS) found that 29%…”

Section: Discussioncontrasting

confidence: 65%

“…were pre-obese/obese before the pregnancy, a condition that is associated with a greater chance of excessive weight gain (7) . Another longitudinal study, conducted with pregnant women attending the Family Health Program of Campina Grande, PB, found 28% initially overweight/ obese, a condition statistically associated with gestational arterial hypertension and the postpartum nutritional status (8) .…”

Section: Discussionmentioning

confidence: 99%

“…among those with obesity (7) . Other studies also found high percentages of pregnant women with weight gain above the recommended: 29% in Rio de Janeiro (17) ; 36% in Sao Paulo (18) ; 39%, 44% and 56% in pregnant women who started the pregnancy underweight, with adequate weight and overweight/obese, respectively, in Recife (9) ; 44% in Campina Grande, PB (8) ; and 45% in Rio Grande do Sul (11) .…”

Section: Discussionmentioning

confidence: 99%

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Nutritional status and weight gain in pregnant women

Sato

Fujimori

2012

Rev. Latino-Am. Enfermagem

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Original ArticleThis study described the nutritional status of 228 pregnant women and the influence of this on birth weight. This is a retrospective study, developed in a health center in the municipality of São Paulo, with data obtained from medical records. Linear regression analysis was carried out. An association was verified between the initial and final nutritional status (p<0.001). The mean of total weight gain in the pregnant women who began the pregnancy underweight was higher compared those who started overweight/obese (p=0.005). Weight gain was insufficient for 43.4% of the pregnant women with adequate initial weight and for 36.4% of all the pregnant women studied. However, 37.1% of those who began the pregnancy overweight/obese finished with excessive weight gain, a condition that ultimately affected almost a quarter of the pregnant women. Anemia and low birth weight were uncommon, however, in the linear regression analysis, birth weight was associated with weight gain (p<0.05). The study highlights the importance of nutritional care before and during pregnancy to promote maternal-infant health.Descriptors: Nutrition Assessment; Weight Gain; Maternal Nutrition; Prenatal Care; Birth Weight.www.eerp.usp.br/rlae 463Estado nutricional e ganho de peso de gestantes Caracterizou-se estado nutricional de 228 gestantes e sua influência no peso ao nascer. Trata-se de estudo retrospectivo desenvolvido num centro de saúde do município de São Paulo, com dados obtidos de prontuários. Realizou-se análise de regressão linear. Verificouse associação entre estado nutricional inicial e final (p<0,001). A média de ganho total de peso diminuiu das gestantes que iniciaram a gravidez com baixo peso para aquelas que iniciaram com sobrepeso/obesidade (p=0,005), sendo insuficiente para 43,4 e 36,4% das gestantes com peso inicial adequado e para o total das gestantes estudadas, respectivamente. Entretanto, 37,1% daquelas que iniciaram a gravidez com sobrepeso/ obesidade finalizaram com ganho excessivo, condição que, no final, afetou quase um quarto das gestantes. Anemia e baixo peso ao nascer foram pouco frequentes, porém, na análise de regressão linear, peso ao nascer associou-se com ganho de peso (p<0,05). Evidencia-se a importância do cuidado nutricional antes e durante a gravidez, para promoção da saúde materno-infantil.Descritores: Avaliação Nutricional; Ganho de Peso; Nutrição Materna; Cuidado Pré-Natal; Peso ao Nascer. Estado nutricional y aumento de peso en la mujer embarazadaEstado nutricional de 228 embarazadas y su influencia en el peso al nacer fue caracterizado.Estudio desarrollado en centro de salud de São Paulo con datos obtenidos de registros médicos. Análisis de regresión lineal fue realizado. Se verificó asociación entre estado nutricional inicial y final (p<0,001). La media del aumento total de peso disminuyó de las mujeres que iniciaran el embarazo con bajo peso para las que comenzaron con sobrepeso/ obesidad (p=0,005), siendo insuficiente para 43,4% y 36,4% de embarazadas con peso adecuado inicial y para e...

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Section: Discussioncontrasting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Nutritional status and weight gain in pregnant women

Sato

Fujimori

2012

Rev. Latino-Am. Enfermagem

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“…It was previously reported here that only ¼ of the overweight women studied gained weight within these recommended limits. 9 There are some limitations in the interpretation of these results. As the study was conducted in selected clinics of the national health system of six capitals, representativeness cannot be assured.…”

Section: Discussionmentioning

confidence: 94%

Nutritional status of pregnant women: prevalence and associated pregnancy outcomes

et al. 2001

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INTRODUCTION: Although obesity is well recognized as a current public health problem, its prevalence and impact among pregnant women have been less investigated in Brazil. The objective of the study was to evaluate the impact of pre-obesity and obesity among pregnant women, describing its prevalence and risk factors, and their association with adverse pregnancy outcomes. METHODS: A cohort of 5,564 pregnant women, aged 20 years or more, enrolled at aproximately 20 to 28 weeks of pregnancy, seen in prenatal public clinics of six state capitals in Brazil were followed up, between 1991 and 1995. Prepregnancy weight, age, educational level and parity were obtained from a standard questionnaire. Height was measured in duplicate and the interviewer assigned the skin color. Nutritional status was defined using body mass index (BMI), according to World Health Organization (WHO) criteria. Odds ratios and 95% confidence interval were calculated using logistic regression. RESULTS: Age-adjusted prevalences (and 95% CI) based on prepregnancy weight were: underweight 5.7% (5.1%-6.3%), overweight 19.2% (18.1%-20.3%), and obesity 5.5% (4.9%-6.2%). Obesity was more frequently observed in older black women, with a lower educational level and multiparous. Obese women had higher frequencies of gestational diabetes, macrosomia, hypertensive disorders, and lower risk of microsomia. CONCLUSIONS: Overweight nutritional status (obesity and pre-obesity) was seen in 25% of adult pregnant women and it was associated with increased risk for several adverse pregnancy outcomes, such as gestational diabetes and pre-eclampsia.

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“…Nonetheless, the use of anthropometric measurements in pregnancy to promote health and improve obstetric results-including maternal morbi-mortality indices, conditions at birth, and perinatal mortalityraises certain issues that underscore the need for validation of some of the practical aspects of the process as well as its universal applicability in normative terms (12)(13)(14)(15)(16). These issues include: water retention, which frequently causes edema; alteration in body composition; and postural, hormonal, and other physiological conditions of pregnancy (17) that are directly reflected in weight gain, the most common anthropometric measure used during pregnancy follow-up.…”

Section: Use Of Anthropometric Assessment Methodsmentioning

confidence: 99%